Baseball Sports Performance: Run Fast, Throw Hard, and Hit Far with Combination Training  By Dr. John Mishock, PT, DPT, DC    When observing a Major League Baseball player, we are often astounded by their ability to effortlessly hit a baseball over 400 feet, throw it at 100 mph, and sprint to first base in under [...]

By Dr. John R. Mishock, PT, DPT, DC   Try Physical Therapy First: Physical Therapy Reduces Health Care Cost and Improves Quality of Life By Dr. John R. Mishock Physical Therapy Reduces Health Care Cost The US has one of the highest healthcare costs in the world. The cost of health care is 17% of [...]

Baseball Injury Prevention: Why is Tommy John Surgery on the Rise? By Dr. John Mishock, PT, DPT, DC    Fifty years ago, Tommy John, a pitcher for the Los Angeles Dodgers, had a career-saving experimental elbow surgery to repair a torn ulnar collateral ligament (UCL) by Dr. Frank Jobe. As of 2024, 36% of all […]

By Dr. John R. Mishock, PT, DPT, DC   Knee Injuries in Sports: How does Early Physical Therapy Help? By Dr. John R. Mishock   In the US, 7 million knee injuries present to emergency rooms every year following sports-related injuries. Studies show that 15-40% of sports-related injuries occur at the knee. Anterior Cruciate ligament […]

Ice or Heat: What does the science say about their use for acute injury? By Dr. John Mishock, PT, DPT, DC  Approximately 70-90% of people use ice or cryotherapy (ice packs, ice towels, ice massage, gel packs, refrigerant gases, ice baths) following an injury or to enhance recovery. Dr. Gabe Mirkin first coined the term [...]

BFR Exercise Part III: Knee Osteoarthritis Reducing Pain and Improving Function through Physical Therapy By Dr. John R. Mishock, PT, DPT, DC           Approximately 14 million people in the US have knee osteoarthritis (OA). By the age of 60, about 10% of men and 13% of women are affected by symptomatic [...]

Manual Therapy: An evidence-based treatment to relieve pain and improve function By Dr. John Mishock, PT, DPT, DC  Manual therapy is one of the most widely used therapeutic solutions by physical therapists and chiropractors to treat pain and musculoskeletal disorders. Manual therapy is a specialized form of physical therapy or chiropractic delivered by the clinicians' [...]

Early Referral to Physical Therapy for Low Back Pain Reduces Cost, and Improves Outcomes By Dr. John Mishock, PT, DPT, DC    Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding [...]

Growth-Plate Injuries of the Shoulder and Elbow in Baseball and Softball Players   By Dr. John Mishock, PT, DPT, DC  Are Growth-plate injuries common in youth and adolescent baseball and softball players? Growth-plate shoulder and elbow injuries are common in youth and adolescent baseball and softball players.  The growth plate (epiphyseal plate or physis) is [...]

Physical Therapy: Exercise Therapy and Manual Therapy the Treatment of Choice for Osteoarthritis  By Dr. John R. Mishock, PT, DPT, DC     Osteoarthritis (OA) is a common disease of aging responsible for chronic disability among older adults with approximately 70 million (20% of the population) being affected currently in the United States alone. The prevalence [...]

By Dr. John R. Mishock, PT, DPT, DC   Why Should I See a Physical Therapist First Through Direct Access? Musculoskeletal disorders are injuries or disorders affecting the body's movement or the musculoskeletal system, secondary to pain or limited function. These disorders cost the health care system over 800 billion dollars and are the second [...]

    We can help! Schedule your visit by visiting this link: https://mishockpt.com/request-appointment/ Gilbertsville – Skippack – Phoenixville – Boyertown – Limerick Visit our website to read informative articles, meet our physical therapy staff, and learn about our treatment philosophy. Email your questions to mishockpt@comcast.net  

Tendonitis: Physical Therapy Improves Pain and leads to Early Return to Function   By Dr. John R. Mishock, PT, DPT, DC     In the US, there are over 33 million musculoskeletal injuries, with more than 50% involving tendon injuries. (James et al. J Hand Surg AM, 2008) More than 1,000 tendons in our body can […]

Baseball Pitching: What Causes a Baseball Pitcher to Throw Hard? By Dr. John Mishock, PT, DPT, DC  In baseball, it is often said that the pitcher has a strong arm. However, this phrase is a misnomer. Research clearly shows that the arm musculature (hand, forearm, and arm) contributes only about 20-25% of throwing velocity. (Gretchen […]

Knee ACL injuries: Can we prevent them in our athletes? Part 1 By Dr. John Mishock, PT, DPT, DC    Knee injuries account for up to 40% of all sports injuries, commonly occurring in soccer, basketball, lacrosse, skiing, football, and gymnastics (Nessier et al. 2017). Knee injuries are the most common cause of surgery in [...]

Blood Flow Restriction (BFR) Can Optimize strength, endurance, motor control, and power whether an individual is focusing on recovering from an injury or training to enhance sports performance.  By Dr. John R. Mishock, PT, DPT, DC           In Part I of Blood Flow Restriction (BFR), we reviewed the history of the [...]

Blood Flow Restriction (BFR) can accelerate rehabilitation from injury and from post - surgical recovery. By Dr. John R. Mishock, PT, DPT, DC     BFR Exercise Part I: Accelerating Rehabilitation from Injury and Post-Surgical Recovery By Dr. John R. Mishock   Aaron Rodgers, the NFL superstar quarterback of the New York Jets, sustained an [...]

Exercise is as good as NSAIDs in relieving pain from Osteoarthritis! By Dr. John R. Mishock, PT, DPT, DC     Osteoarthritis (OA) is the most common form of joint disease and the leading cause of pain in older people. OA often begins by age 40 and can worsen as we age with twenty-four percent [...]

Baseball and Softball Arm Injuries: How do I return to throwing? By Dr. John Mishock, PT, DPT, DC    The success of the baseball pitcher requires not only high-level ability but also durability and prevention of injury. The baseball throwing motion has been described as one of the most violent and stressful motions in all [...]

Throwing Program Guideline: Return from Injury By Dr. John Mishock, PT, DPT, DC            1. Proper warm-up is essential. Perform the dynamic warm-up prior to throwing. 2. Perform 5 throws and holds prior to each set of throws. 3. After each set of throws, rest 3- 5 min. Perform shoulder stretches [...]

Early Referral to Physical Therapy for Low Back Pain Reduces Cost, and Improves Outcomes By Dr. John Mishock, PT, DPT, DC    Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding [...]

Baseball Arm Throwing Injuries: A possible solution? By Dr. John Mishock, PT, DPT, DC    Overuse injuries in the shoulder and elbow are the most common problems in baseball players. Injuries of the shoulder account for 14-21%, whereas the elbow account for 16%-22% of all baseball-related injuries. (Agresta et al. Orthop J Sports Med, 2019, [...]

Throwing Program Guideline: Return from injury By Dr. John Mishock, PT, DPT, DC            Dynamic warm-up: Perform the dynamic warm-up prior to throwing. Throw and holds: Hold the baseball and go through the throwing motion without releasing the ball (10 times). Rest-recovery: After each set of throws, rest 60-90 sec. (Perform [...]

Baseball Sports Performance and Injury Prevention: Interval Throwing Programing Following Arm Injury By Dr. John Mishock, PT, DPT, DC    The baseball throwing motion has been described as one of the most violent and stressful motions in all sports. The arm experiences velocities greater than 9000 deg/s and distraction forces (arm bone pulling away from [...]

Sports Performance: Should I wear an ankle brace to prevent ankle injury? By Dr. John Mishock, PT, DPT, DC    Ankle sprains are one of the most common reasons to visit an emergency department. Ankle injuries are the most common injury sustained by basketball players accounting for 54% of all injuries. Seventy-six percent of these [...]

Sports Performance Nutrition: How important is protein in my training? By Dr. John Mishock, PT, DPT, DC    Building powerful explosive lean muscle can be a game-changer in optimizing sports performance and injury prevention. To optimize muscle growth and development specific training relative to sport is needed, however, exercise alone is not enough. Nutrition and [...]

Chronic Disease Prevention: Muscle vs. Fat, why is it critical? By Dr. John Mishock, PT, DPT, DC  The world health organization reported that the population older than 60 years surpassed that of younger adolescents in 2020 and estimated that people aged > 60 years will be 20% by 2030. (WHO, 2022) The older population increases [...]

Auto Accident Injury: Physical Therapy the best Treatment option Neck, Shoulder, and Low Back Pain By Dr. John Mishock, PT, DPT, DC  Five million Americans yearly suffer from whiplash-associated disorders (WAD) secondary to motor vehicle accidents. These accidents cost over $498 billion in wage loss, medical expenses, vehicle damage, and employer costs. (NSC Injury, 2022) [...]

Diabetes: A Wake-Up Call! We Can Do Better! Part III By Dr. John Mishock, PT, DPT, DC  View Part I and Part II of this series. Approximately 35 million adults in the US have Type 2 Diabetes, 12.6 million of whom are undiagnosed. In addition, nearly 166 million adults are also categorized as having prediabetes. [...]

Dr. John R. Mishock, PT, DPT, DC Approximately 40 million children and adolescents between the ages of 4 and 17 begin participating in organized baseball worldwide. Many young athletes develop elbow and shoulder injuries commonly seen in physical therapy clinics and orthopedic surgeons' offices. Despite pitch count rules and guidelines, youth injuries and surgeries are [...]

By Dr. John Mishock, PT, DPT, DC Irrefutable evidence supports the importance of physical activity, exercise, and cardiorespiratory fitness in preventing and treating chronic diseases, such as cardiovascular disease, obesity, type 2 diabetes Mellitus, cognitive decline, and many cancers while enhancing the immune system, health span (years healthy free of disease), longevity, and resilience. Eighty […]

By Dr. John Mishock, PT, DPT, DC Approximately 30.3 million Americans, or 9.4% of the population, have Diabetes. Globally, diabetes prevalence has climbed from 108 million in 1980 to 425 million in 2017, with 640 million expected by 2040. (Uusitupa et al. Nutrients, 2019) From 1990-2019, the incidence of type 2 diabetes among people from […]

By Dr. John R. Mishock, PT, DPT, DC The ability to be a great golfer is multifaceted; however, it minimally takes countless hours (10,000 or more) of tedious, high-quality, perfect rehearsal to create great swing mechanics. Possibly, the most underrated aspect of golf mechanics is the eyes, which are the most important organ of sense. […]

Dr. John R. Mishock, PT, DPT, DC 1. Dynamic warm up: Perform the dynamic warm-up prior to throwing. 2. Throw and holds: Hold baseball and go through throwing motion without releasing the ball (10 times). 3. Rest-recovery: After each set of throws, rest 60-90 sec. (Perform push-ups, front planks, side planks) 4. Phase progression: Progress […]

By Dr. John R. Mishock, PT, DPT, DC Golf is a popular sport in the US, with over 32 million participants annually (National Golf Foundation, 2020). The most critical determinant of golf performance is the resulting combination of ball accuracy and driving distance. A significant amount of skill and deliberate practice is needed to hit […]

By Dr. John Mishock, PT, DPT, DC In the first article, “Golf Specific Exercises Improves Golf Performance and Prevents Injury: Part I”, I reviewed the essential biomechanics of golf and how improving strength and power through exercise training can improve golf performance. Found at: https://mishockpt.com/golf-specific-exercise-improves-golf-performance-and-prevents-injury-part-i/ In this article, I will review the importance of training […]

By Dr. John Mishock, PT, DPT, DC Worldwide, 55 to 80 million people from 136 countries play golf. (HSBC Group, 2020) With this popularity, golf has been among the most highly studied sports. Advances in technology and sports science have allowed healthcare providers to use this information to create specific sports performance exercise programs to […]

By Dr. John R. Mishock, PT, DPT, DC The elite NBA shooter can make 90% of free throws, 50% from the field, and 40% of their three-point shots. Nine players in NBA history have accomplished this sharp shooting feat of efficiency and consistency in a season. Steve Nash (Phoenix Suns) has done this four times, […]

by Sally Caldwell, DPT TPI-Medical Provider Clinical Director, Phoenixville With golf season over, now is the time to prepare for the next golf season. Our Titleist Performance Institute (TPI) golf exercise training program will improve your golf game, prevent injury, and make you healthier overall. Few golfers emphasize exercise to improve their golf game and […]

By Dr. John R. Mishock, PT, DPT, DC Nutritional interventions are not commonly used as the standard of care in recovery from injury or orthopedic surgery. However, it is well known that good nutrition is critical to optimizing health and wellness. The nutritional needs become amplified when individuals are healing and recovering from physical injury […]

Single-limb exercises mean that the individual moves with one limb vs. two limbs—for example, a single-arm curl vs. a double-arm curl. There are many advantages to unilateral exercise training that I will highlight in this article. Benefits of unilateral exercise: 1. Increase motor unit recruitment: There is more significant muscle firing during the unilateral exercise. […]

By John R. Mishock, PT, DPT, DC Our body has over 360 joints. All joints (where two bones meet) have cartilage at the bone’s ends which helps to reduce friction and provide shock absorption. With aging, this cartilage wears out, leading to pain, swelling, joint deformity, weakness, and altered function. Nearly 70 million Americans have […]

By Dr. John R. Mishock, PT, DPT, DC Shoulder replacement surgeries have dramatically increased in number over the past few decades. There are nearly 53,000 shoulder replacement surgeries performed in the United States annually. Over the years there have been dramatic advances in this surgical procedure and rehabilitation allowing it to enjoy a success rate […]

By John R. Mishock, PT, DPT, DC Total knee arthroplasty (TKA) has become the third most common inpatient surgery in the United States, with 750,000 yearly procedures projected to double in the next decade. (Sloan et al. 2018) There has been a marked increase in the utilization of TKA, estimated to be 600% by 2030. […]

By Dr. John R. Mishock, PT, DPT, DC In the US, there is over 8.6 million sports-related adolescent (age 10-20 years) injuries annually; 42% happen in the lower extremity, 30% in the upper extremity, and 16% in the head and neck. (NHSR, 2016) Many of these are over-use injuries that occur due to excessive intensity, […]

By Dr. John R. Mishock In organized sports from youth to pro there are approximately 4-6 million injuries each year. The majority of these injuries occur as sprains and strains of the upper and lower extremity. (Hopkinsmedicine.org) Many of these injuries are preventable with proper exercise training and load management of training/competition volume, which ultimately […]

By Dr. John R. Mishock, PT, DPT, DC When watching professional athletes play their sport, we marvel at how they effortlessly hit a baseball over 400 feet, throw a baseball a 100 mph, jump over 40 inches to dunk a basketball, and run sub 4.2 sec on the football field. Advancements in strength and conditioning […]

By Dr. John R. Mishock, PT, DPT, DC Lower extremity injuries make up 66% of all sports injuries, the knee being the most commonly injured joint. (Med Sci. Sports Exerc. 2002) The anterior cruciate ligament (ACL) is one of four ligaments in the knee that holds the thigh and leg bones together. The ACL ligament […]

By Dr. John R. Mishock There is a belief that resistance exercises or weightlifting create muscle damage, leading to tightness and limiting function in sports such as baseball, basketball, golf, and others. Does resistance exercise damage muscle? Can the muscle damage be helpful? Resistance training exercise creates micro-damage to the muscle. This muscle damage is […]

By Dr. John R. Mishock, PT, DPT, DC Studies show that seeing a physical therapist first through direct access can: improve musculoskeletal pain faster; reduce or remove the need for some types of musculoskeletal surgery; reduce opioid use; improve patient satisfaction; reduce expensive medical testing; and help patients get needed treatment faster. (Physical Therapy, 2017) […]

By Dr. John R. Mishock, PT, DPT, DC The baseball pitcher is the most vital position in baseball. The success of the baseball pitcher not only requires high-level ability but also requires durability and prevention of injury. Science has also shown that in elite baseball pitchers, 85% of throwing velocity comes from leg drive (push-off […]

By Dr. John R. Mishock, PT, DPT, DC Growth-plate injuries of the shoulder and elbow are common injuries in youth and adolescent baseball players. The growth-plate (epiphyseal plate or physis) is an area of cartilage at the end of a bone that is responsible for the bones growth. The growth plates close at the completion […]

By Dr. John R. Mishock There is a belief that resistance exercises or weightlifting create muscle damage, leading to tightness and limiting function in sports such as baseball, basketball, golf, and others. Does resistance exercise damage muscle? Can the muscle damage be helpful? When exercising, there is micro-damage or small amounts of physiological tissue change […]

By Dr. John R. Mishock, PT, DPT, DC Golf is a popular sport in the US, with over 32 million participants annually (National Golf Foundation, 2020). The most critical determinant of golf performance is the resulting combination of ball accuracy and driving distance. A significant amount of skill and deliberate practice is needed to hit […]

By Dr. John R. Mishock Today’s elite-level basketball player needs high-level athleticism with elite-level skills in shooting, ball handling, and passing. When I was growing up, it was a common belief that lifting weights would make you too bulky and tight, negatively impacting your shooting form and accuracy. Some basketball coaches and trainers still hold […]

By. Dr. John R. Mishock, PT, DPT, DC Each year, two million Americans suffer from whiplash-associated disorders (WAD) secondary to motor vehicle accidents. Studies using high-speed cameras and sophisticated crash dummies have determined that rear-impact car accidents cause the lower cervical vertebrae (lower bones in the neck) to be forced into a position of hyperextension […]

By Dr. John R. Mishock, PT, DPT, DC Overuse injuries in the shoulder and elbow are the most common problems in baseball players. Injuries of the shoulder account for 14-21%, whereas the elbow account for 16%-22% of all baseball-related injuries. (Agresta et al. Orthop. J Sports Med, 2019, Posner et al. Am J Sorts Med, […]

By Dr. John R. Mishock, PT, DPT, DC Resistance training is an essential tool to optimize an individual’s athletic potential. To optimize the effects of resistance training, the manipulation of volume (total amount of reps or sets), load (amount of weight), frequency (training sessions of a body part per week), and intensity (effort per rep) […]

  By Dr. John R. Mishock, PT, DPT, DC In sports, most high-level athletes (70-90%) and elite sports coaches (94%) report using motor imagery (mental or kinesthetic imagery) to enhance sports performance. (Ridderinkhof et al. J Physiol, 2015) There have been over 122 studies demonstrating the effectiveness of motor imagery in basketball, baseball, soccer, volleyball, […]

By Dr. John R. Mishock, PT, DPT, DC Coaches, trainers, and athletes are often looking for the “next thing” that will allow them to reach the highest level of sports performance. One training technique to optimize sports performance is motor imagery, also known as mental imagery or visualization. Motor imagery is defined as the mental […]

By John R. Mishock, PT, DPT, DC Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding $100 billion per year in treatment, reduced productivity and lost wages. Approximately, 70 million adults […]

By Dr. John R. Mishock, PT, DPT, DC An acute ankle sprain is the most common lower limb injury accounting for up to 40% of all sports-related injuries. The highest incidence of injury occurs in basketball (41.1%), American football (9.3%), and soccer (7.9%). (Vuurberg et al. Br j Sports Med, 2018, (McKay et al Br […]

By Dr. John R. Mishock, PT, DPT, DC Why is nutrition essential to me as an athlete? Good nutrition is essential to improve or maintain health parameters (blood glucose, cholesterol, blood pressure), maintain optimal weight, prevent disease (infection, heart disease, hypertension, cancer), and improve healing from injury. A diet that is primarily whole food and […]

By Dr. John R. Mishock, PT, DPT, DC Building powerful explosive lean muscle can be a game-changer in optimizing sports performance and injury prevention. To optimize muscle growth and development specific training relative to sport is needed, however, exercise alone is not enough. Nutrition and more specifically protein are needed to attain optimal results. Why […]

By Dr. John R. Mishock, PT, DPT, DC The economic burden of treating orthopedic injuries is estimated at $9 billion annually for those 17-44 years of age. (Harlan et al. Am J Public Health 2020) Nutritional interventions are not commonly used as the standard of care in recovery from injury or orthopedic surgery. However, it […]

By Dr. John R. Mishock, PT, DPT, DC In the US, 30 million children and teens participate in organized sports with more than 4 million injuries each year. The majority of these injuries occur as sprains and strains of the upper and lower extremity. (Hopkinsmedicine.org) Many of these injuries are preventable with proper exercise training, […]

The goal of the Mishock Physical Therapy Holiday Home Exercise program is to promote the development of the individual’s ability to become strong in fundamental movement patterns (relative maximum strength) that are critical to improving function and preventing injury. The scientifically based program trains the body’s major muscle groups by focusing on the core, upper, […]

By Dr. John R. Mishock, PT, DPT, DC In today’s game of basketball, a high-level player must have sprint speed, vertical and horizontal jumping ability, first-step-quickness, explosive change direction movements, physical strength, and balance to endure and compete at the highest level. The player needs to have all of these attributes and be able to […]

By Dr. John R. Mishock, PT, DPT, DC Basketball is one of the most popular sports, with an estimated 300 million people playing worldwide. (www.sfia.org) Ankle injuries are the most common orthopedic injury in basketball. In a study of NCAA Division 1 basketball players, 27% of all musculoskeletal injuries occur in the ankle. Many of […]

By John R. Mishock, PT, DPT, DC An estimated 100,000 Americans died of a drug overdose this year, a never-before-seen milestone according to the Center for Disease Control and Prevention (CDC, 2021). Experts believe that the increase in deaths is due to the growing use of fentanyl, an opioid prescription drug that is typically used […]

By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Aquatic therapy is well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. The water provides buoyancy and hydrostatic pressure. The […]

By Dr. John R. Mishock The Mishock return to throwing program is a guide designed to gradually build the player’s throwing capacity when returning from an arm injury. All athletes are different through their age, genetics, previous training, physical conditioning, and previous injury. In that, care must be taken to modify this program to meet […]

By Dr. John R. Mishock, PT, DPT, DC Shoulder replacement surgeries have dramatically increased in number over the past few decades. There are nearly 53,000 shoulder replacement surgeries performed in the United States annually. Over the years there have been dramatic advances in surgical procedure and rehabilitation, allowing a success rate as high as 92% […]

Do you struggle with any of the following? • Frequent bathroom visits • Trouble controlling your bowels or urine during every day activity, leading to leakage • Pain during intercourse • Constipation You could be suffering from Pelvic Floor Dysfunction. When you have pelvic floor dysfunction, your pelvic muscles can’t relax or work together the […]

By John R. Mishock, PT, DPT, DC Despite COVID-19 the NFL, college, high school, and youth football is being played. Beyond the concern for prevention of COVID-19, concussion prevention and management are at the forefront of health providers’ concerns. According to NFL injury data, 224 reported concussions were reported in 2019, up 4.7 % from […]

By Dr. John R. Mishock, PT, DPT, DC In our last article, (Knee ACL and Lower Extremity Injuries: Can we prevent them in our youth athletes? Part I) we determined that lower extremity injuries make up 66% of all sports injuries, with the knee being the most commonly injured joint.(Med Sci Sports Exerc. 2002) These […]

By Dr. John R. Mishock, PT, DPT, DC Lower extremity injuries make up 66% of all sports injuries, the knee being the most commonly injured joint. (Med Sci. Sports Exerc. 2002) The anterior cruciate ligament (ACL) is one of four ligaments in the knee that holds the thigh and leg bones together. The ACL ligament […]

By John R. Mishock, PT, DPT, DC, Owner, Mishock Physical Therapy & Associates Each year there are numerous deaths of youth and adolescent athletes connected to dehydration related illness, while playing sports, especially pre-season football camps. There was a time when drinking water during practices and games was seen by coaches as a weakness or […]

By Dr. John R. Mishock, PT, DPT, DC Studies show that seeing a physical therapist first through direct access can: improve musculoskeletal pain faster; reduce or remove the need for some types of musculoskeletal surgery; reduce opioid use; improve patient satisfaction; reduce expensive medical testing; and help patients get needed treatment faster. (Physical Therapy, 2017) […]

John R. Mishock, PT, DPT, DC With the baseball season is in full swing, the Major League Baseball injury rate is reaching an unprecedented level. The throwing injury rate is also increasing in college, high school, and youth level baseball players. Most coaches look at pitch count guidelines to help reduce throwing overuse injuries. Limiting […]

By Dr. John R. Mishock, PT, DPT, DC In my clinic, a 12-year-old boy and his parents present for a sports medicine consultation regarding his elbow pain. Following a 105 pitch outing, he felt significant sharp elbow pain. He stated the pain started about an inning before, but he was encouraged by his coach and […]

By Dr. John R. Mishock, PT, DPT, DC Osteoarthritis (OA) is a common disease of aging responsible for chronic disability among older adults with approximately 70 million (20% of the population) being affected currently in the United States alone. The prevalence of OA increases with age, especially in individuals over age 50 (40% having OA). […]

By Dr. John R. Mishock Growth-plate injuries of the shoulder and elbow are common injuries in youth and adolescent baseball players. The growth-plate (epiphyseal plate or physis) is an area of cartilage at the end of a bone that is responsible for the bones growth. The growth plates close at the completion of bone growth […]

by John R. Mishock, PT, DPT, DC It is estimated that 60 million children and adolescence aged 6 to 18 years participate in team sports, with 44 million participating in more than 1 sport (The National Council of Youth Sports). Of those 60 million athletes approximately 45% to 54% will develop some type of overuse […]

By Dr. John R. Mishock, PT, DPT, DC The baseball pitcher is 36 times more likely to develop a shoulder or elbow injury if they throw while the arm or body is tired and fatigued. (Am Sports Med Inst, 2017). We know that limiting pitches thrown per game, per week, and per year can reduce […]

Mishock PT & Associates is now offering Pelvic Floor Rehab in our Boyertown clinic, and Phoenixville. In the United States, individuals are led to believe that pelvic pain, urinary leakage, prolapse, sexual dysfunction, and the feelings of “damage” to their body after pregnancy are the “norm.” These outdated ideas can make a huge impact on […]

By: Megan Repko, MPT & Melissa Bennett, MS, ATC; Mishock Physical Therapy & Associates               One cause of chronic swelling could be lymphedema. This is a condition where swelling occurs in the extremities due to a compromised or damaged lymph system. Lymph is the fluid that bathes the cells […]

By Dr. John R. Mishock, PT, DPT, DC The economic burden of treating orthopedic injuries is estimated at $9 billion annually for those 17-44 years of age. (Harlan et al. Am J Public Health 2020) Nutritional interventions are not commonly used as the standard of care in recovery from injury or orthopedic surgery. However, it […]

By Dr. John R. Mishock, PT, DPT, DC To run fast or jump high, you must have explosive push off of the “triple extenders” of the ankle (plantar flexion), knee (extension), and hip (extension). The muscles that make up the “triple extenders” are the; gluteus maximus at the hip, the hamstrings (biceps femoris, semimembranosus, semitendinosus, […]

By Dr. John R. Mishock, PT, DPT, DC Researchers estimate about 10% of COVID-19 patients become “COVID long-haulers” (Rubin, JAMA, 2021). “Long-haulers” are people who experience persisting symptoms of COVID-19 long after the infection is defeated. The condition can affect both young and old with very mild to severe symptoms. COVID-19 has far-reaching pathology, potentially […]

By Dr. John R. Mishock, PT, DPT, DC, Owner, Mishock Physical Therapy & Associates The Mishock Winter Workout Baseball and Softball Training Program is a home exercise program that prepares the athlete for pre-season baseball. It also can be used as a warm-up or training station in a winter work-out program or as an in-season […]

By Dr. John R. Mishock Major League Baseball (MLB), injuries cause an estimated half-billion dollars in lost revenues annually. (MLB injury stats, 2019) Arm injuries account for > 50% of all MLB injuries, equating to 460,432 days on the MLB disabled list, with the numbers continuing to rise. (Conte S. Am J Ortho 2018) At […]

  by John Mishock, PT, DPT, DC, Owner Mishock Physical Therapy & Associates Many professional and amateur endurance athletes use the supplement beetroot powder or juice to enhance their endurance during sports. Beetroot juice increases levels of nitric oxide which; increases blood flow, improves O2 gas exchange, increases mitochondrial biogenesis (helps with energy) and efficiency, […]

    By Dr. John R. Mishock, PT, DPT, DC   Basketball is one of the most popular sports, with an estimated 300 million people playing worldwide. (www.sfia.org)  Ankle injuries are the most common orthopedic injury in basketball. In a study of NCAA Division 1 basketball players, 27% of all musculoskeletal injuries occur in the […]

By Dr. John R. Mishock   The number of cases of COVID-19 is increasing throughout our community and Nationally. COVID-19 has negatively impacted all of our lives in many ways, from severe illness, death of loved ones, social separation, anxiety, depression, suicide, job loss, business bankruptcies, and schools’ closure.   However, over the last seven […]

The goal of the Mishock Physical Therapy Holiday Home Exercise program is to promote the development of the individual’s ability to become strong in fundamental movement patterns (relative maximum strength) that are critical to improving function and preventing injury. The scientifically based program trains the body’s major muscle groups by focusing on the core, upper, […]

By John R. Mishock, PT, DPT, DC In the US, 30 million children and teens participate in organized sports with more than 4 million injuries each year. The majority of these injuries occur as sprains and strains of the upper and lower extremity. (Hopkinsmedicine.org) Many of these injuries are preventable with proper exercise training, which […]

By Dr. John R. Mishock Physical therapists use various treatment techniques to help their patients improve pain, enhance function, and optimize the individual’s quality of life. Physical therapists are highly trained in helping their clients acquire and optimize functional movement skills. Whether it is to learn to walk or perform the highest level sports performance […]

By John R. Mishock, PT, DPT, DC Despite COVID-19 the NFL, college, high school, and youth football is being played. Beyond the concern for prevention of COVID-19, concussion prevention and management are at the forefront of health providers’ concerns. According to NFL injury data, 224 reported concussions were reported in 2019, up 4.7 % from […]

In most sports, power and explosiveness are essential physical attributes to reach elite level status, especially in basketball. In training to achieve this elite level status, it is vital to challenge the body in sport-specific ways rooted in sports performance science. I will describe a new training technique that can enhance; vertical jump, speed, and […]

Most states have moved away from self-quarantine and are now resuming the “new normal” with COVID-19 in our midst. From March through June, youth and adolescent sports were canceled. Sports organizations are now trying to play catch up by squeezing spring and summer sports into July and August. With this ramp-up in games, we have […]

By Dr. John R. Mishock, PT, DPT, DC As of June 5th, our area moved from red to yellow loosening stay-at-home orders. Now is the time to focus on your health and treat the pain that is limiting your function, leading to poor quality of life. This is the perfect time to start physical therapy. […]

By Dr. John R. Mishock, PT, DPT, DC Elite-level athletes (football, basketball, baseball, softball, soccer, lacrosse, field hockey, rugby) can quickly read and react to game situations significantly better than novice level players. From a sheer athletic perspective, speed, agility, quickness, and reaction time can separate a good athlete from a great athlete. In my […]

By Dr. John R. Mishock, PT, DPT, DC Osteoarthritis (OA) is a common disease of aging frequently treated in physical therapy. OA of the knee joint occurs when the cartilage that separates the thigh and leg bone wears out or breaks down. Twenty-five percent of people over 55 years demonstrate persistent episode of knee pain […]

By Dr. John R. Mishock, PT, DPT, DC Seven weeks ago, we began this journey in shutting down our schools, businesses, and our familiar ways of life due to the impending doom of COVID-19. At the time, scientific knowledge was limited regarding this dreaded virus. There was a belief that our health system would be […]

By Dr. John R. Mishock, PT, DPT, DC In our local communities, it appears the COVID-19 “curve has flattened” with a 14% positive infection rate (individuals tested at the community-based testing sites Whitpain and Norristown) down from a high of 24%. The bottom line, 14% of individuals who have symptoms are positive for COVID-19 at […]

By Dr. John R. Mishock, PT, DPT, DC I wanted to review some of the recent scientific research for the week regarding COVID-19. The objective is to educate the local community and our patients using science to guide our decisions and control or reduce panic while taking on controlled risk. When COVID-19 first started in […]

By Dr. John R. Mishock COVID-19 has devastated the US population by; those being infected, the secondary impacts of social distancing/quarantine, school and business closures, and unprecedented unemployment. The economy is tumbling into recession with US job losses reaching 25 million, with the potential to reach over 50 million. (US Dept. Labor) COVID-19 has created […]

By Dr. John R. Mishock, PT, DPT, DC COVID-19 has challenged our world in many ways. One significant change is the strict social distancing and quarantine which has led to feelings of loneliness, hopelessness, and panic. This quarantine has also led to an inability to exercise and stay active lending to poor quality of life […]

By Dr. John R. Mishock, PT, DPT, DC Coronaviruses is a large family of viruses that affects people and animals. Coronavirus (COVID-19) is a new strain that was first identified in Wuhan China in which it was transmitted from animal to human in December 2019. Since then, it has spread to a global pandemic (prevalent […]

By Dr. John R. Mishock, PT, DPT, DC Approximately, 40 million children and adolescence between the ages of 4 and 17 will soon begin participation in organized baseball throughout the world. Many of these young athletes develop elbow and/or shoulder injuries commonly seen in physical therapy clinics and orthopedic surgeon’s offices. Despite pitch count rules […]

By Dr. John R. Mishock, PT, DPT, DC In parts I through III of the “Brain Training, The Key to Developing Sports Skill” we learned how the brain and nervous system function with the musculoskeletal system to create proper movement patterns that can enhance sports performance. In this article I will outline key concepts that […]

By Dr. John R. Mishock, PT, DPT, DC In part I and II of the “Proper Training of the Brain is the Key to Developing Skill in Sports” we learned how the brain and nervous system learn and perfect movement. The underlying physiology of learning is a critical to how a coach or trainer should […]

By Dr. John R. Mishock, PT, DPT, DC In part I of the “Brain Training, the Key to Developing Skill in Sports: Part I” we learned how critical the brain and perfect practice is to developing proper movement. In this article I will review the mechanisms of how the brain and nervous system learn through […]

The saying goes, “practice makes perfect.” However, in the world of physical therapy and motor learning it is, “perfect practice makes perfect and permanent.” Perfect rehearsal, over time, allows the athlete to transfer the movement to competition at game speed. For example, in basketball, great shooters have mastered the movement pattern that allow them to […]

by Dr. John Mishock, PT, DPT, DC Active Release Technique (ART) is a patented, soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia, and nerves. Many conditions (listed below) can be resolved quickly and permanently with ART. These conditions all have one important aspect in common: they are often a […]

By Dr. John R. Mishock, PT, DPT, DC Creatine Monohydrate (creatine) is one of the most popular nutritional aids in America with over 9 million pounds of creatine supplement consumed annually. Creatine first gained popularity in the 1990s with body builders and athletes. Many people take this supplement to improve training adaptation to enhance sports […]

By: Megan Repko, MPT & Melissa Bennett, MS, ATC; Mishock Physical Therapy & Associates One cause of chronic swelling could be lymphedema.  This is a condition where swelling occurs in the extremities due to a compromised or damaged lymph system.  Lymph is the fluid that bathes the cells with needed nutrients, oxygen, and white blood […]